How to perform a colon cleanse at home: 9 steps for a safe and proper technique

Constipation causes hard, dry stools, making bowel movements difficult, painful, and often leaving a feeling of incomplete evacuation. According to NIDDK, approximately 16% of adults in the US experience constipation, and this percentage increases to about 33% in people aged 60 and older. Therefore, at-home enemas might be considered by many as a quick solution for prolonged constipation.

However, colonic enemas are not always suitable, and improper use can cause pain, bleeding, or electrolyte imbalance. The FDA warns that overdosing on enemas containing sodium phosphate can lead to kidney damage, heart problems, and even be life-threatening. In this article, Tiptory helps you understand when to consider at-home enemas, the safety principles to know, how to minimize discomfort, and most importantly, how to recognize situations that require medical attention instead of self-treatment.

Colonic Enemas Need to Be Done Correctly

1. Prepare the solution and equipment

• If a doctor or pharmacist recommends a colonic enema, prioritize pre-packaged products and use the correct type and dosage according to the label instructions. Do not mix your own solutions with salt, soap, chemicals, or unrecommended ingredients.

• Carefully read the instructions before performing the procedure. For different types of colonic enemas, the action time and usage may vary.

• Prepare appropriate lubricant to help the tip of the applicator enter more easily, reducing friction and damage to the anal area.

• In particular, do not arbitrarily increase the dose or use multiple times a day. The FDA warns that overdosing on enemas containing sodium phosphate can cause dehydration, electrolyte imbalance, and kidney and heart damage.

2. Choose a suitable posture and position

• Perform in a private area, near a toilet, so you can have a bowel movement as soon as the medication starts to work.

• Lay a clean towel underneath to prevent liquid from leaking onto the floor or bed.

• A common posture advised when using an at-home enema is to lie on your left side, with your knees drawn towards your chest. This posture facilitates the insertion of the applicator tip into the rectum.

• Avoid trying to insert the applicator deeply or using force if you feel resistance. If there is resistance, pain, or bleeding, stop. Forcibly inserting the applicator can cause rectal damage.

3. Insert the applicator tip gently

• Lubricate the applicator tip before inserting it into the anus.

• Insert the applicator tip slowly, following the product's instructions. Do not apply a fixed depth for all types of at-home enemas, as applicator designs and instructions may vary.

• Do not force the solution in if you feel pain, unusual tension, or resistance.

• If severe pain, bleeding, or dizziness occurs, stop and seek medical attention.

4. Introduce the solution slowly

• For squeeze bottles, follow the instructions on the packaging and introduce the solution gently, without forcing it quickly.

• For gravity-fed enema bags, use only the amount of solution recommended by the manufacturer.

• Do not arbitrarily increase the amount of solution with the goal of "cleaning the colon" more. A colonic enema primarily affects the rectum and lower colon; it is not a method for cleaning the entire colon.

• Some types of enemas can cause a feeling of needing to have a bowel movement quite quickly. For example, docusate enemas typically work within about 5–20 minutes.

5. Wait for the instructed time

• After introducing the solution, maintain the posture and follow the retention time indicated on the label or advised by medical personnel.

• Do not try to hold it longer than the recommended time to increase effectiveness.

• When you feel the urge to have a bowel movement, go to the toilet and expel the solution and stool.

• Not all types of constipation enemas require holding the solution for the same duration, so product-specific instructions take precedence over general timelines.

6. Have a bowel movement and monitor your body's reaction

• After expelling the solution, you may continue to have a few more bowel movements depending on the type of enema and the severity of constipation.

• Drink plenty of water to prevent dehydration, especially if you have multiple bowel movements. NIDDK also recommends adequate fluid intake when increasing fiber to help treat constipation.

• You should not make at-home enemas a regular habit. For common constipation, dietary changes, adequate hydration, exercise, and appropriate laxatives are usually prioritized first.

7. Know when not to self-administer an enema

• Do not self-treat with a colonic enema if you are experiencing continuous or severe abdominal pain, vomiting, fever, inability to pass gas, rectal bleeding, or blood in your stool. These may be signs that require medical evaluation.

• Individuals with kidney disease, dehydration, intestinal obstruction or inflammation, especially those over 55, should be cautious with products containing sodium phosphate due to a higher risk of complications.

• If constipation is prolonged, recurrent, or does not improve after self-care measures, you should consult a doctor or pharmacist instead of continuously performing at-home enemas.

8. Prioritize addressing the cause of constipation

• A colonic enema can help relieve stool in the lower bowel in some situations, but it does not address the underlying cause of recurrent constipation.

• Adults are generally recommended to consume about 22–34 grams of fiber daily, depending on age and gender, and to increase it gradually to allow the body to adapt.

• Maintaining adequate hydration, regular exercise, not holding bowel movements, and establishing a regular bowel habit can help control constipation long-term.

Part 1: Correctly Prepare Your Enema Kit

Step 1: Ask your doctor before performing an enema

You should ask your doctor before self-administering an enema

• Before performing a colonic enema or at-home enema, you should consult with a doctor, especially if you have never used this method before. Constipation has many causes, and not all cases are suitable for enemas.

• A doctor can assess your constipation and guide you to more appropriate methods, such as increasing fiber, drinking enough water, exercising, or using over-the-counter laxatives when needed. According to NIDDK, constipation treatment often begins with dietary and lifestyle changes before considering other medications or measures.

Ask clearly about usage and frequency

• If your doctor agrees to an at-home enema, ask clearly about the type of solution to use, dosage, method of administration, and appropriate frequency.

• You should not arbitrarily perform enemas for constipation multiple times or increase the amount of solution if the first attempt is ineffective. Abuse of certain types of enemas, especially products containing sodium phosphate, can cause dehydration and severe electrolyte imbalance.

• If the enema does not help with bowel movements, constipation continues, or symptoms worsen, do not repeatedly perform the procedure. Contact your doctor to find the cause and appropriate treatment method.

There are cases where doctors actively prescribe enemas

• Colonic enemas are sometimes used to clear the lower colon before certain procedures or tests, such as a colonoscopy.

• If you are instructed to perform an enema before a colonoscopy, use the correct product, timing, and amount of solution as directed by the medical facility. Do not change the preparation yourself, as the goal of the procedure may differ from treating regular constipation.

Recognize when to see a doctor instead of self-administering an enema

• You should not rely solely on at-home enemas if constipation is accompanied by severe or continuous abdominal pain, vomiting, fever, rectal bleeding, blood in your stool, or inability to pass gas.

• These signs may be related to a condition that requires early medical evaluation. In particular, if constipation is recurrent or prolonged despite dietary and lifestyle changes, finding the cause will be more important than continuously trying to "cleanse" the colon.

Prioritize addressing the cause of constipation

• An at-home enema can help expel stool in some cases, but it is primarily a short-term supportive measure, not a treatment for the root cause of constipation.

• To control constipation long-term, adults should focus on adequate fiber intake, sufficient hydration, regular exercise, and establishing regular bowel habits. If these measures are ineffective, a doctor or pharmacist can provide further advice on appropriate laxatives.

Step 2: Do not mix your own enema solution at home

Prioritize recommended enema solutions

• If your doctor prescribes a colonic enema with a saline solution, prioritize sterile products or solutions packaged specifically for this purpose and use them according to the label instructions.

• Do not assume that DIY saline recipes found online apply to all cases. The concentration, volume, and type of solution depend on the product, age, and health status. For children, professional guidelines prioritize oral laxatives and do not consider rectal interventions as a first choice.

• If you are considering an at-home enema, especially for young children, the elderly, or individuals with kidney disease, heart conditions, or electrolyte imbalances, you should consult a doctor or pharmacist before use.

Do not add extra ingredients to the solution yourself

• Do not add coffee, vinegar, alcohol, fruit juice, herbs, soap, or other substances to your at-home enema solution unless instructed by a healthcare professional.

• Ingredients rumored to "cleanse the colon" are not necessarily safe when introduced directly into the rectum. Mixing solutions with inappropriate ingredients or concentrations can cause irritation, mucosal damage, or disrupt water and electrolyte balance.

Do not apply a fixed dose for everyone

• You should not take a fixed formula or volume and apply it to both adults and children. Enema doses vary by active ingredient and age.

• Particularly for products containing sodium phosphate, the FDA specifies different rectal dosages for individuals aged 12 and older compared to children aged 2–11, and these products should not be used for children under 2 years old. Overdosing can cause serious complications.

• Therefore, if a constipation enema is needed, use the correct product and dose indicated on the packaging or prescribed by a doctor, instead of calculating the solution amount based on weight or age yourself.

Be especially cautious when administering enemas to children

• Do not self-administer a colonic enema for young children just because they are constipated. NHS England recommends that rectal interventions in children should not be the first choice, and if necessary, they should be performed under the guidance of a pediatrician or specialized healthcare professional.

• For children under 2 years old, do not self-use enemas containing sodium phosphate. The FDA requires labels on these products to state that they are not for use in this age group.

• If a child experiences increasing abdominal pain, abdominal distension, vomiting, inability to drink water, or reduced urination, they should be taken to a doctor instead of self-treating with an at-home enema.

Do not confuse enemas with "complete colon cleansing"

• A colonic enema primarily introduces solution into the rectum to help soften or expel stool from the lower part of the intestine. It is not a method for "detoxification" or complete colon cleansing.

• If constipation is frequent, the more important goal is to find and address the cause. Treatment guidelines prioritize appropriate measures such as prescribed laxatives, lifestyle changes, and monitoring response, rather than continuously using enemas.

Stop if any unusual signs appear

• When using an enema product, if the applicator tip is difficult to insert, do not force it or squeeze the solution vigorously. The FDA warns that forcibly inserting the applicator tip into the rectum can cause damage; if rectal pain or bleeding occurs, stop use and seek medical attention.

• If, after use, you still do not have a bowel movement, constipation persists, or you experience abdominal pain, bloating, vomiting, or blood in your stool, do not continue to self-administer at-home enemas multiple times. This is when the cause needs to be evaluated rather than continuing to increase the dose or switch to a self-mixed solution.

Step 3: Choose an enema based on doctor's instructions

Prioritize ready-to-use enema kits

• If your doctor recommends a colonic enema, prioritize ready-to-use enema kits manufactured specifically for this purpose rather than mixing your own solutions or combining multiple ingredients yourself.

• Some products may contain mineral oil or sodium phosphate to help soften stool and stimulate bowel movements. However, each active ingredient has different indications and safety levels, so you should not choose based solely on advertisements or anecdotal experience.

• When purchasing an enema product, check the active ingredients, concentration, target users, and dosage on the label. Do not use products intended for children on adults or vice versa.

Do not choose phosphate enemas yourself

• Phosphate enemas can cause serious changes in electrolyte levels if used in overdose or in high-risk individuals. The FDA has noted cases of kidney and heart damage and, rarely, death after overdosing on oral or rectal sodium phosphate products.

• Do not use more than one dose of sodium phosphate within 24 hours, even if you still haven't had a bowel movement after the first dose. If it is ineffective, contact a healthcare professional instead of self-administering another dose.

• Children under 2 years old should not self-use sodium phosphate enema products. Individuals over 55 years old or those with kidney disease, heart failure, dehydration, intestinal obstruction, or inflammation should also consult a doctor before use.

Mineral oil is not an option for everyone

• Mineral oil enemas may be used in some cases of constipation or hard stools, but the correct product and dosage are still needed.

• Do not arbitrarily increase the amount of oil or use it continuously without professional guidance. If constipation is frequent, relying solely on enemas for constipation may miss the underlying cause of the condition.

• For common constipation, dietary changes, adequate hydration, exercise, and appropriate short-term laxatives are often the first considerations.

Be especially cautious with children and the elderly

• Do not apply dosages based on weight or age shared on the Internet. Dosages must be based on the product label itself or a doctor's prescription.

• Young children and the elderly are at higher risk of dehydration or electrolyte imbalance in certain situations. Therefore, at-home enemas for these groups should be guided by a healthcare professional.

• If the user has kidney disease, heart failure, is dehydrated, or is taking diuretics, ACEI/ARB blood pressure medications, or NSAIDs, special consultation with a doctor is needed before using sodium phosphate.

Stop self-administering enemas if unusual signs appear

• If the applicator tip encounters resistance, do not force it or squeeze the solution vigorously. NHS guidelines also recommend stopping if there is resistance, as forcibly inserting the applicator can cause rectal damage.

Do not make enemas a habit

• Home enemas can help resolve rectal impaction in some cases, but they are not a method to "cleanse" the entire colon.

• If constipation recurs, the abdomen is frequently bloated, there is blood in the stool, or the condition does not improve after treatment, consult a doctor to find the cause. The NHS notes that prolonged constipation can lead to stool becoming trapped in the rectum, which may require medical treatment instead of self-treatment.

Step 4: Lubricate the tip of the applicator before insertion

Lubricate properly to reduce friction

• Before performing a colonic enema, check that the applicator tip is clean, intact, and used according to product instructions.

• A small amount of water-based lubricant suitable for rectal mucosa can be used to reduce friction when inserting the applicator tip. Apply a thin layer to the part of the tip that the manufacturer instructs to insert into the rectum.

• Do not apply too much. The goal of this step is to help the applicator slide more smoothly, reduce discomfort, and minimize the risk of abrasions due to friction.

Do not force the applicator if there is resistance

• When performing a home enema, insert the applicator tip slowly and gently according to product instructions. Do not try to push it deeper or use force if you feel resistance.

Choose the right lubricant

• For home enemas, prioritize lubricants explicitly stated as suitable for rectal use or recommended by the manufacturer.

• Do not substitute with oils, lotions, chemicals, or products with ingredients that can cause irritation.

• If you have bleeding hemorrhoids, anal fissures, pain, or rectal injuries, consult a doctor before self-administering an enema for constipation.

After lubrication, proceed gently

• Lie in the appropriate position according to product instructions, relax your anal muscles, and slowly insert the applicator tip.

• If you feel pain or your body reacts unusually, do not try to complete the procedure just because you started. The safety of your rectal mucosa is more important than trying to insert enough solution.

• Colonic enemas should only be considered a supportive measure in appropriate cases, not a procedure to be performed regularly to "cleanse" the colon.

Part 2: Instructions for safe colonic enema

Step 1: Prepare the space before the enema

Choose a private location near a restroom

• When performing a home enema, choose a bathroom or a private area immediately near a restroom. Some enemas can create a quick urge to defecate, so do not perform it in a location far from the toilet.

• Keep the surrounding area dry, clean, and well-lit so you can observe the equipment, read package instructions, and react quickly if an unusual situation arises.

Prepare a place to lie down or rest

• You can spread a few clean towels or a waterproof pad on the floor to create a more comfortable surface for lying down when performing a home enema.

• If using an enema bag, place it in a secure and convenient position according to product instructions. Do not hang the bag too high if the manufacturer does not instruct to do so, as increased solution pressure can cause discomfort or injury.

• Have toilet paper, clean towels, and easy-to-change clothes ready so you don't have to leave the area during the process.

Place equipment within reach

• Before starting a colonic enema, place the solution, equipment, and necessary items in an easily accessible but unobstructed position.

• Check the bag, tube, and applicator tip according to instructions. Do not use if the equipment is torn, cracked, deformed, or not hygienic.

• If using a pre-packaged enema, keep the product intact and follow the label instructions instead of transferring the solution to another device.

Ensure you have enough time

• Do not perform a home enema when you are in a hurry, have to go to work, school, or need to leave home immediately afterward.

• Allow enough time to stay near the restroom after use. The effect of enemas varies depending on the active ingredient and product, so adhere to the instructed time instead of trying to predict the exact time of bowel movement.

Prioritize safety over comfort

• There's no need to try to "kill time" while waiting for the medication to take effect. The most important thing is to maintain a comfortable position, stay near the toilet, and monitor your body's reactions.

• If you experience severe abdominal pain, dizziness, rectal bleeding, vomiting, or unusual sensations, do not continue to self-administer the enema for constipation. Stop the procedure and contact medical personnel if needed.

Step 2: Choose the appropriate position for enema

Prioritize lying on your left side

• When performing a home enema, the left-side lying position is often used in medical guidelines as it can facilitate easier insertion of the applicator tip into the rectum.

• Lie on your left side, gently bring both knees towards your chest, and keep your body relaxed. There's no need to pull your legs too close if it causes discomfort.

• Some medical guidelines also allow for other positions depending on the type of device and intended use. Therefore, prioritize the instructions included with the enema medication or your doctor's specific instructions.

Prepare before getting into position

• Place all necessary equipment within reach before starting a home enema, and ensure you can quickly move to the restroom.

• You can spread a clean towel or waterproof pad underneath to keep the lying area clean and dry.

• Maintain a comfortable posture, avoiding tension in your abdominal and anal muscles. Relaxation helps reduce discomfort during the procedure.

Do not force yourself into a painful position

• If lying on your side causes you pain or you cannot perform it safely, do not force your body. Refer to the product instructions or ask medical staff about a suitable position.

• When performing an enema for constipation, if the applicator tip meets resistance or causes pain, do not try to insert it deeper. Pain or bleeding is a sign to stop the procedure.

Keep actions simple and gentle

• No need to use a mirror if you don't find it necessary. More importantly, ensure adequate lighting, clean equipment, and follow instructions correctly.

• Do not try to observe inside the rectum yourself or use other tools to assist with inserting the enema tip.

• If severe pain, bleeding, or dizziness occurs during a colonic enema, stop and seek medical advice.

Step 3: Insert the applicator tip very gently

Do not force the enema tip if there is resistance

• When performing a home enema, only insert the applicator tip according to product instructions. Do not apply a fixed depth, such as 7.6 cm, for all types of enema medications, as applicator designs and usage instructions may vary.

• Before inserting the applicator, check the tip and apply a thin layer of suitable lubricant to reduce friction.

• Insert the applicator tip slowly and gently. It may be slightly uncomfortable or create a sensation of needing to defecate, but it should not cause significant pain.

Stop if you encounter resistance or pain

• If the applicator tip does not go in easily, do not try to push it deeper and do not use force to overcome the point of resistance.

• If pain, bleeding, or unusual sensations occur, stop the enema for constipation and contact medical personnel if needed.

• NHS guidelines for using phosphate enema also recommend not forcing the applicator if resistance is encountered, as forceful manipulation can cause rectal injury.

Relax to minimize discomfort

• Maintain a comfortable position and try to relax your anal muscles. Stress or muscle clenching can make insertion more difficult.

• There's no need to try to "push" the applicator in by straining. If inserting the enema tip is difficult, you should stop instead of continuing the maneuver.

Be especially careful when administering enemas to children

• Do not self-apply adult depths when administering a colon enema to children. Young children have different anatomy and a higher risk of rectal injury if the procedure is not performed correctly.

• For children, only use enemas with appropriate medical guidance or strictly according to product instructions for that age group.

• If a child experiences abdominal pain, vomiting, abdominal distension, rectal bleeding, or prolonged constipation, medical evaluation is needed instead of repeatedly administering a home enema.

Do not try to insert the applicator deeper to increase effectiveness

• A colonic enema is not more effective simply by inserting the applicator tip deeper. The goal is to deliver the correct amount of solution to the designed location, not to insert the applicator as deep as possible.

• If the first attempt is not effective, do not arbitrarily increase the depth, amount of solution, or number of enemas. Recheck the product instructions or consult a doctor, especially if constipation does not improve.

Step 4: Position the enema bag correctly

Position the enema bag according to product instructions

• When performing a home colonic enema, do not arbitrarily set a fixed height for the enema bag. Each set of equipment has a different design and solution delivery mechanism, so prioritize the manufacturer's instructions or your doctor's specific instructions.

• If using a gravity-fed enema bag, place or hang the bag in a secure position appropriate to the instructions. Do not place the bag too high in an attempt to increase the pressure to deliver the solution into the rectum.

• Ensure that the hook, stand, or surface holding the bag is sturdy enough to prevent the bag from falling during a home enema.

Introduce the solution slowly

• For disposable squeeze bottle devices, squeeze gently and according to label instructions. Do not try to force the entire solution into the rectum if you feel pain, fullness, or resistance.

• For gravity-fed enema bags, allow the solution to flow according to the device's mechanism. Do not manually increase the flow rate by squeezing the bag or raising it higher than instructed.

• The goal of an enema for constipation is to deliver the correct amount of solution needed, not to deliver as much or as quickly as possible.

Stop immediately if any abnormal signs appear

• If significant abdominal or rectal pain, dizziness, nausea, bleeding, or unusual sensations occur, stop administering the solution and seek medical advice if needed.

• Do not continue squeezing the bottle or raising the bag to try to deliver the remaining solution when your body is already reacting uncomfortably.

Do not increase the amount of solution yourself

• Do not add more water or other solutions to the bag to "cleanse more thoroughly." Increasing the volume or changing the composition can increase the risk of injury and electrolyte imbalance.

• Especially with products containing sodium phosphate, the FDA warns against overdosing or using an additional dose within 24 hours if the first dose is not effective.

If used for children, extreme caution is required

• Do not use enema bags or devices intended for adults to administer a colon enema to children.

• Young children, especially those under 2 years old, should not use sodium phosphate enemas themselves. Constipation treatment in children should be guided by a doctor when rectal intervention is needed.

• If a child experiences severe abdominal pain, vomiting, abdominal distension, or rectal bleeding, do not continue with a home enema but take the child to see a doctor.

Step 5: Relax to reduce discomfort during enema

Breathe slowly to reduce stress

• When performing a home enema, the sensation of fullness or needing to defecate can cause you to unconsciously clench your anal muscles. Inhale slowly through your nose, then exhale slowly to relax your body.

• Maintain a steady breathing rhythm and choose a comfortable position according to product instructions. There's no need to try to hold your breath or strain during a home enema.

Do not try to hold the device in place by force

• Once the applicator tip is in the correct position, avoid clenching your muscles or trying to push the device deeper to prevent leakage.

• If you feel the applicator tip being pushed out, stop and check your position, instead of trying to reinsert it with force. The applicator tip should not cause pain or significant resistance.

Distinguish between mild discomfort and abnormal signs

• A feeling of fullness, urgency to defecate, or slight cramping may occur as the solution enters the rectum.

• However, severe pain, increasing pain, rectal bleeding, dizziness, or severe nausea should not be considered normal reactions. In such cases, stop the enema for constipation and seek medical advice.

Don't try to endure to complete the procedure

• If your body reacts uncomfortably, do not try to hold the solution longer or continue to insert more solution just to complete the prepared amount.

• For each type of enema medication, the duration of action and method of use may vary. Follow the instructions on the label or your doctor's specific instructions instead of trying to prolong the retention time.

Keep goals realistic

• Home enemas can help soften or expel stool in some cases, but they are not a method for "cleansing" the entire colon and do not address the root cause of constipation.

• If constipation recurs frequently, focus on identifying the cause and adjusting your diet, water intake, exercise, or choosing appropriate medications with medical advice.

Step 6: Introduce the solution slowly and gently

Let the solution flow as directed

• When performing a home enema, the solution administration time varies between different types of devices. Follow the product instructions instead of assuming it should take 5–10 minutes.

• With gravity-fed enema bags, allow the solution to flow naturally and do not intentionally raise the bag to speed up the process. A flow that is too fast can increase feelings of fullness or cramping.

• If using a disposable enema bottle, do not squeeze it forcefully to inject the solution into the rectum. Proceed slowly and according to the instructions on the label.

Stop administering the solution if your body reacts abnormally

• A feeling of rectal fullness, urge to defecate, or mild cramping may occur during constipation enema treatment.

• If you experience distinct pain, worsening pain, dizziness, severe nausea, or bleeding, stop administering the solution and do not attempt to complete the remaining amount.

• Do not constantly lower or raise the bag to self-adjust the flow rate if pain occurs. If symptoms do not quickly subside, stop the procedure and seek medical advice.

Gently remove the applicator tip

• Once the recommended amount of solution has been administered, keep your body relaxed and slowly withdraw the applicator tip.

• Do not yank, twist, or attempt to reinsert the applicator tip if it has already been withdrawn. These actions can increase friction and the risk of mucosal injury.

• If you see blood on the applicator tip or experience bleeding after withdrawal, do not continue with the home colon cleanse and contact medical personnel.

Have a toilet ready

• After using an enema solution, the urge to defecate can appear quickly. Therefore, it is advisable to perform the procedure near a toilet to avoid having to travel far.

• There is no need to try to distract yourself with a phone or reading if it makes you lose focus on your body's reactions. The important thing is to maintain a stable posture and monitor symptoms.

Do not try to hold the solution longer than instructed

• The retention time of the solution depends on the type of enema and its active ingredients. Do not arbitrarily extend the time to increase effectiveness.

• If you still do not have a bowel movement after use, do not immediately take another dose. For products containing sodium phosphate, the FDA warns against using an additional dose within 24 hours if the first dose is ineffective.

Ava Anderson Internal Medicine Resident

Holds an MD from the University of Michigan Medical School, with over 9 years of experience treating common illnesses and providing corporate healthcare consulting. Currently practicing at Cedars-Sinai Medical Center, known for a dedicated and precise approach.